HomeMy WebLinkAbout302127 08/22/16 CITY OF CARMEL, INDIANA VENDOR: 371013
ONE CIVIC SQUARE FRANK SMITH III CHECK AMOUNT: S*******100.00*
CARMEL, INDIANA 46032 5228 MARK LANE CHECK NUMBER: 302127
INDIANAPOLIS IN 46226 CHECK DATE: 08/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 082216 100.00 OTHER EXPENSES
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
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ON ACCOUNT OF APPROPRIATION FOR
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Board Members
PO#or DEPT.# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
/. Payee
K 5m ; Purchase Order No.
4—)n Terms
wn ��ng0 f 5 SN 46 7_2� Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5-11-10-1.6.
20
Clerk-Treasurer